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LARCs Part 2

Megen Vo, MD and Lisa Patel, MD
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According to the 2017 Youth Risk Behavior Survey, nearly 40% of US teens reported ever having sex; however, only 54% reported using a condom at last intercourse, 37% reported using a hormonal method, and 14% reported not using anything to prevent pregnancy. On the flip side, we know that long-acting reversible contraceptives are recommended as first-line for adolescents for contraception. So why aren’t teens using them? Long-acting reversible contraception (LARCs) include the copper intrauterine device (IUD), the hormonal (progesterone-only) IUD, and the progesterone-only subdermal implantable rod. When used correctly, the failure rate for these is <1%. The benefits are that each of these methods is effective for up to 3-10 years, but can be removed at any time with rapid return to baseline.

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September 2020 Peds RAP Written Summary 290 KB - PDF

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